Intake Packet

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OASIS HEALTH VENTURES

Welcome to Oasis Health Ventures

Welcome to Oasis Health Ventures. This intake packet is designed to collect the information needed to begin services, explain your rights and responsibilities, document your consent for treatment, and provide required privacy and compliance notices. Please review each section carefully and complete all applicable forms. If you have questions or need assistance completing any part of this packet, please ask an Oasis Health Ventures staff member for help.

Packet Includes

This packet may include the following sections:

  1. Client Demographic, Emergency Contact, and Health Background Information
  2. Admission Status or Acceptance/Denial of Services
  3. Consent for Treatment & Client Agreement
  4. Telehealth Consent, if applicable
  5. Authorization for Release of Information, if applicable
  6. Client Rights, Privacy, & Choices Summary
  7. Advance Directive and Provider Choice Information
  8. Crisis Safety Plan
  9. Universal Consent & Acknowledgment Signature Page

Important Notice

Some sections of this packet are for information and acknowledgment purposes only. To reduce duplicate signatures, general acknowledgments and consents may be signed together on the Universal Consent & Acknowledgment Signature Page.

Certain forms may still require a separate signature, including the Authorization for Release of Information, Telehealth Consent, and Acceptance/Denial of Services, when applicable.

Staff Use Only

PROFILE SHEET